Individual Services

Individual provider appointments are available to for those who may want to obtain support in one area, rather than join a full program. Frequency of follow-up appointments and intensity of intervention is determined by you and the provider to support your needs.

  • Medical/Endocrine evaluation and management
  • Obesity Medications
  • Nutrition plan and guidance
  • Emotional and behavioral support
  • Exercise plan
  • Group education and support
  • Pre- or Post Gastric Bypass Management
  • Maintenance
  • Meal Replacements
  • Resting Metabolic Rate Assessment and Analysis

Comprehensive Program

This lifestyle approach draws on an integrative model of weight management and addresses all aspects of health, including medical, nutritional, behavioral, activity and psychological wellness. You will meet with a different team member every week on a rotational basis for optimal support.

Choose a weight loss approach that suits your needs and lifestyle

  • Directed Path: A meal-replacement based approach (with fresh fruit and vegetables) that limits choices allowing you to temporarily step away from food safely and build a sustainable foundation. This path is most appropriate for those with a large amount of weight to lose or who have medical conditions necessitating weight loss.
  • Guided Path: A combined food and meal replacement flexible approach. Create a meal plan based on your needs.
  • Self-Directed Path: A weight loss plan designed in collaboration with our nutritionist to meet your specific medical and nutritional needs. This path is ideal for those who want to learn to manage food through weekly nutritional, behavioral and psychological support.
  • Sustaining Path: A plan for weight maintenance that provides ongoing coaching sessions to reinforce the tools and skills learned to help you face life's daily challenges.

Results from this program

Along with weight loss, you should see many changes, which may include:

  • Improvements in blood pressure, cholesterol, blood sugar
  • Better sleep and reduced sleep apnea
  • Greater energy and sense of well being
  • Improved fitness, stamina and mobility
  • Decreased pain
  • Greater self-confidence
  • Development of realistic goals for weight loss and maintenance

The actual amount of weight you lose will depend on many factors including age, sex, height, percentage overweight, gender, readiness, etc. We encourage you to view this program more broadly than the number of pounds lost. Depending on your selected dietary approach, an average weight loss of 1-3 lbs./week is typical.

In 2012, our patients lost on average 10% of his/her starting weight (medical reporting method) or 32% of their excess weight (surgical reporting method), with a range up to 27% of starting weight or 110% of their excess weight. Over 50% of our patients lost an average of 16% (10-27%) of their baseline weight with noted improvements in co-morbidities and quality of life.

These results are consistent with the NIH recommendation of a 10% weight loss as a clinically meaningful goal to improve patients’ health and emphasis that even a modest weight loss of 5% shows reduction in blood pressure, improved cardiovascular health, delaying or prevention of the onset of diabetes and better overall quality of life. The Look Ahead trial supported this 10% reduction in total body weight association with reduced risk factors for cardiovascular disease.

Featured Events and Activities

  • Healthy cooking classes
  • Walking groups
  • Workshops
  • Grocery store tours

Clinical Research

We design, implement and evaluate weight management/obesity protocols with the goal of increased understanding of obesity as a disease and its related co-morbid conditions. Our research strengthens the clinical work we do. As obesity experts we gain additional experience with medications before they become available and maintain an ongoing connection with scientists in the field.

We typically conduct several clinical trials a year examining the effects of different drugs on weight loss, and on improving metabolic conditions. We continuously recruit for people interested in participating in clinical research studies. Many of the trials include a lifestyle intervention including dietary and behavioral support.

Each research study has different requirements and obligations. Intervention intensity varies with each protocol. All drug trials are placebo controlled. We would be happy to discuss current studies for which you might be eligible. There is no cost for participation in research trials.

Why should I consider participating in a clinical trial?

Some of our participants find that by being involved in a clinical research trial they get the benefit of:

  • Making a contribution to the understanding of obesity
  • A structured routine with regular check-ins, weigh-ins and ongoing support
  • A lifestyle intervention including dietary and/or behavioral support (many trials offer this)
  • An opportunity to try a new therapy that may make a difference in helping with weight loss (in trials, you have the possibility of not receiving active medication, called a placebo)
  • A commitment to a year or more of the study structure helps solidify behavioral change

Each research study has different requirements and obligations. Intervention intensity varies with each protocol. All drug trials are placebo controlled. We would be happy to discuss current studies for which you might be eligible. There is no cost for participation in research trials.

How safe is participation in a clinical trial?

Patients participating in research studies are monitored with monthly visits and laboratory evaluations, including frequent physical examinations and EKGs. Clinical information can be made available to your physician with your permission, as needed. All protocols have been reviewed for subject safety and approved by an Institutional Review Board. Additional medical oversight is provided by a Clinical Research Organization working independently of the pharmaceutical companies.

There are no guarantees when taking any medication, including FDA approved drugs. Each potential participant in a drug study will experience an informed consent process during which all known safety issues that have been identified to date are reviewed. Informed consents can be taken home for review and consideration. If any safety concerns arise, the medication is discontinued.

What is involved?

The screening process includes medical evaluation to determine a participant's appropriateness for study participation. This typically involves several visits to the Center for informed consent review, physical examination, blood draw, EKG, vital signs-BP, weight, waist circumference, questionnaires and an interview. Some studies require more intensive screening procedures such as an echocardiogram, DEXA (to ascertain body-fat composition, etc.)

Regular ongoing visits to the Center according to protocol requirements. At these visits a participant is weighed, vital signs are checked, side effects and overall health status is assessed. Many protocols have ongoing regular visits with study dietitian or behaviorist.